Na nɔmal tin fɔ fil smɔl fɔ fred ɛn fred we yu dɔktɔ tɛl yu se yu nid fɔ du yu at tɛst. We wi yɛri di wɔd "stress test," bɔku pan wi kin tink bɔt tɛst we gɛt fɔ du wit fɔ rɔn pan tredmil. Bɔt nɔto ɔlman kin ebul fɔ du da kayn ɛksesaiz de. We dis kayn tin apin, dɛn kin du spɛshal tɛst we dɛn kɔl adenosine strɛs tɛst fɔ chɛk aw yu at de gɛt blɔd fayn fayn wan. So, lɛ wi tɔk bɔt am insay simpul wɔd dɛn, ɛn wi nɔ fɔ fred ɔ dawt.
Wetin na dis adenosine strɛs tɛst rili?
Fɔ tɔk am simpul wan, dis na tɛst we de chɛk aw yu at de wok fayn. We wi de du ɛksɛsayz, rɔn, ɔ jomp, wi at kin bit kwik kwik wan. Dis kin mek di at mɔsul dɛn nid mɔ blɔd. Dis tɛst min se dɛn kin gi yu smɔl mɛrɛsin we dɛn kɔl adenosine, we kin opin di blɔd vesel dɛn na yu at lɛk se yu de du ɛksɛsayz.
Imajin, dis drɔg artificially kriet wan situeshɔn usay yu de rɔn pan tredmil. Dɔn, dɔktɔ dɛn kin si if difrɛns de bitwin di we aw yu at de pɔmp blɔd we yu de rɛst ɛn di we aw i de pɔmp blɔd ɔnda dis kayn "strɛs."
Bɔku men tin dɛn de we dis tɛst de luk fɔ:
- Chek fɔ si if ɛnitin dɔn pwɛl yu at mɔsul fɔ ɔltɛm .
- Mek shɔ se di at de gɛt inof blɔd ɛn ɔksijɛn .
- Coronary Artery Disease (CAD) , we na we di at we de kɛr blɔd go na di at kin smɔl ɔ blok.
Ustɛm dɛn fɔ du dis tɛst?
Dis tɛst nɔto fɔ ɔlman. Dɔktɔ kin tɛl am fɔ pɔsin we i nɔ kin ebul fɔ du strɛs tɛst ɔltɛm. Na sɔm ɛgzampul dɛn ya:
- If yu nɔ ebul fɔ du ɛksɛsayz pan tredmil, lɛk fɔ waka ɔ rɔn (fɔ ɛgzampul, pɔsin we gɛt prɔblɛm wit in jɔyn ɔ we i nɔ ebul fɔ blo).
- If yu nɔ ebul fɔ mek yu at rit rich di lɛvɛl we yu want pan ɔl we yu de du ɛksɛsayz.
- If yu de tek sɔm mɛrɛsin dɛn lɛk beta-blɔka .
- If yu gɛt pesmɛka we dɛn put insay yu at.
- If yu gɛt prɔblɛm wit di we aw ilɛktrik signal dɛn de travul na di at we dɛn kɔl lɛft bɔndɛl branch blɔk .
Aw dis tɛst de wok?
Pan ɔl we dis kin tan lɛk se i kɔmplikt smɔl, fɔ tru, na wan we we rili sistɛm.
Fɔs, dɛn kin put smɔl redioaktiv tin (raydioaktiv mak) ɔ spɛshal wata (kɔntrast) insay wan vein we yu de rɛst. Dɔn, wan spɛshal kamɛra (skan) kin tek pikchɔ dɛn fɔ yu at. Dis kin sho aw blɔd de flɔ tru yu at di tɛm we yu de rɛst nɔmal wan.
Neks, dεn kin gi yu wan dכg we dεn kכl "Adenosine" insay yu vein fכ fכ minit. We dɛn injɛkt dis drɔg na yu bɔdi, di blɔd vesel dɛn na yu at (koronary arteries) kin dilayt, lɛk se yu de du ɛksɛsayz tranga wan. Dis kin mek di blɔd go na yu at kwik kwik wan.
Da tɛm de, dɛn kin put di redioaktiv tin bak insay di bɔdi, ɛn di skan mashin kin tek pikchɔ dɛn fɔ di at. Naw di dɔktɔ dɛn kin kɔmpia di fɔs pikchɔ dɛn wit dɛn sɛkɔn pikchɔ dɛn ya.
Fɔ tɔk am simpul wan, if blɔd de flɔ fayn fayn wan to ɔl di pat dɛn na di at we i de rɛst, ɛn we i "strɛs" di blɔd flɔ to sɔm say dɛn de dɔŋ, dat min se i kin bi se blɔd vesel kin blok na da eria de.
Sɔntɛnde, di skan we dɛn kin yuz fɔ tek dɛn pikchɔ ya kin bi MRI (Magnetic Resonance Imaging) skan, ɔ spɛshal CT (Computed Tomography) skan.
Aw a fɔ pripia bifo di tɛst?
Dis na pat we rili impɔtant. Yu fɔ fala dɛn instrɔkshɔn ya jɔs fɔ mek di tɛst rizɔlt kɔrɛkt.
| Wetin fɔ du | Diskripshɔn ɛn impɔtant tin |
|---|---|
| Tɛl di dɔktɔ ɔltin. | Mek shɔ se yu tɛl yu dɔktɔ bɔt ɛni mɛrɛsin we yu gɛt (especially asma) ɛn ɛni mɛrɛsin we yu de tek (inklud vaytamɛn ɛn ɛbul mɛrɛsin). Sɔm kɔndishɔn dɛn kin mek dis tɛst nɔ fayn fɔ yuz. |
| If yu gɛt asma | Yu kin nid fɔ stɔp fɔ tek asma mɛrɛsin lɛk tiofilin tu dez bifo di tɛst. Tɔk to yu dɔktɔ bɔt dis. Dɔn bak, mek shɔ se yu kam wit yu asma inhala fɔ di tɛst. |
| Dɛn nɔ gri fɔ yuz kafinɛ! | Dis na di tin we impɔtant pas ɔl. Nɔ it ɔ drink ɛnitin we gɛt kafin fɔ 24 awa bifo yu du di tɛst. Dis na bikɔs kafin de ambɔg di akshɔn we di adenosin mɛrɛsin de du. Tin dɛn fɔ stɔp:
|
Wetin a fɔ fala di de we dɛn go du di tɛst?
Di we aw yu de pripia rili impɔtant bak di de we dɛn go du di tɛst.
| Advays | Tɔk bɔt |
|---|---|
| Fɔ it ɛn drink | Dɛn go aks yu fɔ fast fɔ sɔm awa bifo di tɛst. I nɔ bad fɔ drink sɔm wata fɔ tek yu mɛrɛsin. Di ɔspitul go gi yu patikyula instrɔkshɔn bɔt dis. |
| Fɔ smok | Nɔ smok ɔltogɛda di de we dɛn de du di tɛst. |
| List fɔ di mɛrɛsin dɛn | Bring wan list fɔ ɔl di mɛrɛsin dɛm (inklud di vaytamɛn dɛm) we yu kin tek. |
| Speshal advays fɔ pipul dɛn we gɛt dayabitis | |
| If yu tek insulin | Yu dɔktɔ go nid fɔ ajɔst yu insulin doz. Dɛn kin tɛl yu fɔ tek af pan yu mɔnin doz ɛn it layt it 4 awa bifo di tɛst. Nɔ ɛva chenj yu doz if yu nɔ aks yu dɔktɔ fɔs. |
| If yu tek pils | Dɛn kin aks yu fɔ stɔp fɔ tek yu dayabitis pils te di tɛst dɔn. |
| Glukɔs mita | Bring yu glukose monita. Yu kin chɛk yu blɔd shuga lɛvɛl bifo ɛn afta di tɛst. If yu fil se yu nɔ gɛt bɛtɛ trɛnk, tɛl di wan dɛn we de wok de wantɛm wantɛm. |
Wetin kin apin we dɛn de du tɛst? A fɔ fred?
No rizin nɔ de fɔ mek wi fred. Di wan dɛn we de wok na di mɛrɛsin go tek kia ɔf yu gud gud wan. Na sɔm tin dɛn we go apin:
- Dɛn go put tu IV layn dɛn na wan vein na yu an. Wan fɔ gi yu di mɛrɛsin, ɛn di ɔda wan fɔ gi yu di redioaktiv tin.
- Dɛn kin put ilɛktrɔd , we na smɔl smɔl stika dɛn na yu chɛst. Dɛn kin yuz dɛn tin ya fɔ kɔntinyu fɔ wach aw yu at de wok bay we dɛn de yuz EKG (Electrocardiogram) mashin.
- Dɛn kin put blɔd prɛshɔn kɔf na yu an ɛn dɛn kin kɔntinyu fɔ mɛzhɔ yu blɔd prɛshɔn.
- Dɛn go kɛr yu go insay di skan mashin ɛn tɛl yu fɔ ledɔm fɔ lɛk 45 minit so .
- Dɛn kin tɛl yu fɔ ol yu briz fɔ sɔm sɛkɔn dɛn we yu de tek pikchɔ.
- Bifo dɛn gi yu adenosin, dɛn go tɛl yu bɔt di sayd ɛfɛkt dɛn we i kin gɛt.
Di wan ol tin kin tek lɛk tu awa so, bɔt di skan insɛf kin tek lɛk 45 minit so.
Ɛni bad tin de we kin apin to dis?
Di adenosine drɔg de na di bɔdi fɔ rili shɔt tɛm. So ivin if di sayd ɛfɛkt dɛn apin, dɛn kin go insay sɔm sɛkɔn dɛn afta dɛn dɔn stɔp di mɛrɛsin. Na lɛk 80% pan di pipul dɛm wae de tek dis tɛst kin gɛt smɔl smɔl sayd ɛfɛkt dɛm.
Di kɔmɔn sayd ɛfɛkt dɛn:
- Rɛdnɛs na di fes, i de flash
- Chɛst de pen ɔ tayt
- Shot we yu de blo
Di sayd ɛfɛkt dɛn we nɔ kin apin so ɔltɛm:
- At blɔk
- Wiz (Bronchospasm) - mɔ pan pipul dɛm we gɛt asma
Nɔ wɔri if dɛn sayd ɛfɛkt ya apin. Di mɛdikal tim dɔn rɛdi. If nid de, dɛn go gi yu mɛrɛsin lɛk kafinɛ ɔ aminofilin fɔ kɔntrol dɛn tin ya.
Wetin di tɛst rizɔlt dɛn se?
Di dɔktɔ, we de analayz di pikchɔ dɛn frɔm yu tɛst, go sheb yu to tri kategori bay di risk we yu gɛt pan yu at: low risk, intermediate risk, ɔ high risk .
Di rizulyt kin tɛl yu mɔ aw yu gɛt at atak, ɛn if di sayn dɛm we yu gɛt naw (lɛk we yu de fil pen na yu chɛst) na bikɔs blɔd nɔ de go na di at.
- If di tin dɛn we kin apin nɔmal: Dis min se ɔl di pat dɛn na yu at de gɛt inof blɔd, we yu de rɛst ɛn we yu strɛs. Bikɔs yu de na grup we nɔ gɛt bɔku prɔblɛm, dɛn kin advays yu fɔ yuz sɔm mɛrɛsin (lɛk beta-blɔka) ɛn mek sɔm chenj dɛn na yu layf.
- If di tin dɛn we kin apin nɔ kin fayn: Dis min se sɔm pat dɛn na di at nɔ kin gɛt bɛtɛ blɔd, mɔ we pɔsin strɛs. Dis min se di blɔd vesel dɛn we de na da say de kin blok.
Bɔku tɛm, dɛn kin gɛt di rizɔlt insay sɔm dez. Yu dɔktɔ go kɔl yu fɔ tɔk bɔt di rizɔlt ɛn wetin fɔ du nɛks.
If di tin dɛn we kin apin nɔ kin fayn, wetin yu kin du nɛks?
Nɔ wɔri. Dis tɛst go ɛp yu fɔ no di prɔblɛm ɛn trit am. Yu dɔktɔ kin tɛl yu fɔ du sɔntin lɛk dis:
- Koronari angiografi: Dis na fɔ put kamɛra insay di blɔd vesel dɛn na di at fɔ si ustɛm di blɔk de ɛn aw i bad.
- Fɔ put stent: Fɔ put smɔl tin we tan lɛk mɛsh insay blɔd vesel we dɔn blok fɔ mek i opin bak.
- Coronary Artery Bypass Graft (CABG): If di blok bad bad wan, dɛn kin put nyu blɔd vesel fɔ baypas am.
Wetin na di difrɛns bitwin Lexiscan® ɛn Adenosine strɛs tɛst?
Lexiscan® (regadenoson) na wan mɛrɛsin we, lɛk adenosine, de wok bak bay we i de opin di blɔd vesel dɛn. Infakt, na dis drɔg naw na di wan we dɛn kin yuz mɔ fɔ dis tɛst. pan ɔl we adenosin kin tek lɛk 5 minit fɔ injɛkt, dɛn kin gi Lexiscan® insay 10 sɛkɔn. Dɔn bak, sɔm stɔdi dɛn dɔn sho se Lexiscan® nɔ gɛt bɛtɛ sayd ɛfɛkt pas adenosine. Bɔt yu dɔktɔ go disayd us mɛrɛsin go fayn fɔ yu.
Mɛsej we dɛn kin kɛr go na os
- Di adenosine strɛs tɛst na wan tɛst we rili sef ɛn impɔtant fɔ pipul dɛn we nɔ ebul fɔ du ɛksɛsayz fɔ si aw di at de gɛt blɔd fayn fayn wan.
- Yu pripia rili impɔtant fɔ mek yu gɛt sakrifays pan dis tɛst. Na mɔtalman nɔ fɔ it ɛnitin we gɛt kafin fɔ 24 awa bifo yu du di tɛst.
- Mek shɔ se yu tɛl yu dɔktɔ bifo tɛm bɔt ɛni mɛrɛsin we yu gɛt (especially asma) ɛn ɛni mɛrɛsin we yu de tek.
- Di sayd ɛfɛkt dɛn we kin apin we dɛn de du di tɛst kin smɔl ɛn dɛn go sɔlv kwik kwik wan. Di mɛdikal tim dɔn rɛdi fɔ dis.
- Bay di rizɔlt fɔ dis tɛst, yu dɔktɔ go ebul fɔ mek di bɛst tritmɛnt plan fɔ protɛkt yu at wɛlbɔdi. So nɔ fred fɔ aks yu dɔktɔ ɛni kwɛstyɔn we yu gɛt.
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